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Avoid taking it if you have: asthma cancer, especially of the breast, ovaries, uterus, prostate, hypothalamus, or pituitary gland epilepsy hCG allergy heart disease hormone-related conditions kidney disease migraines precocious (early) puberty uterine bleeding Injections of hCG are common in IVF, IUIs, and other fertility treatment

Prescriptions are written by physicians employed by or contracted with Willow Medical of California, P.C

What to monitor Track the following metrics to assess whether the levocarnitine addition is providing value: Body composition changes (use DEXA, InBody, or similar if accessible) Energy levels and exercise performance GI symptoms (compare to baseline on tirzepatide alone if possible) Liver function markers (ALT, AST) if baseline values were elevated General well-being and recovery quality If after 8 to 12 weeks the levocarnitine addition has not produced noticeable improvements in energy, exercise performance, or body composition compared to tirzepatide alone, consider adjusting your protocol or switching to a different compound blend

doi: 10.1001/jama.2017.13994 8 ChanCL

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